<p> THI Stakeholder Analysis Tool</p><p>ORGANIZATION: ______</p><p>CHECKLIST FOR COMMUNITY STAKEHOLDER INVOLVEMENT Please add name, title, organization, address, phone and email for each invitee. Thank you!</p><p>ORGANIZATION ATTENDEE #1 ATTENDEE #2 ATTENDEE #3 ATTENDEE #4 ATTENDEE #5</p><p>STAKEHOLDER GROUP 1: Business</p><p>Chambers of Commerce</p><p>Local Major Employers</p><p>Retired Business Leaders </p><p>Minority Chambers of Commerce</p><p>8501 N. MoPac Expressway, Austin, Texas 78759 512.279.3910 Fax: 512) 279-3911</p><p>CHECKLIST FOR COMMUNITY STAKEHOLDER INVOLVEMENT</p><p>ORGANIZATION ATTENDEE #1 ATTENDEE #2 ATTENDEE #3 ATTENDEE #4 ATTENDEE #5</p><p>Media</p><p>Bankers</p><p>STAKEHOLDER GROUP 2: Insurance</p><p>Health Insurance Companies</p><p>Insurance Brokers</p><p>STAKEHOLDER GROUP 3: Consumers</p><p>Consumers</p><p>2 CHECKLIST FOR COMMUNITY STAKEHOLDER INVOLVEMENT</p><p>ORGANIZATION ATTENDEE #1 ATTENDEE #2 ATTENDEE #3 ATTENDEE #4 ATTENDEE #5</p><p>STAKEHOLDER GROUP 4: Community Leaders</p><p>United Way</p><p>PTA</p><p>Rotary/Lions/Kiwanis</p><p>Junior League</p><p>Faith Community</p><p>Community or Neighborhood Organization</p><p>3 CHECKLIST FOR COMMUNITY STAKEHOLDER INVOLVEMENT</p><p>ORGANIZATION ATTENDEE #1 ATTENDEE #2 ATTENDEE #3 ATTENDEE #4 ATTENDEE #5</p><p>STAKEHOLDER GROUP 5: Government</p><p>Elected Officials (state and national)</p><p>Mayor and Council</p><p>County Judge and Commissioners</p><p>Hospital District Board</p><p>Department of Public Health</p><p>Sheriff/ Police</p><p>4 CHECKLIST FOR COMMUNITY STAKEHOLDER INVOLVEMENT</p><p>ORGANIZATION ATTENDEE #1 ATTENDEE #2 ATTENDEE #3 ATTENDEE #4 ATTENDEE #5</p><p>Judges (juvenile and family)</p><p>Superintendent(s)/Principals(s)/Boar d Member(s)</p><p>School Counselors</p><p>University/College/Junior College Faculty</p><p>Area Health Education Center (AHEC)</p><p>STAKEHOLDER GROUP 6: Providers and Suppliers of Health Care Services</p><p>Physicians</p><p>5 CHECKLIST FOR COMMUNITY STAKEHOLDER INVOLVEMENT</p><p>ORGANIZATION ATTENDEE #1 ATTENDEE #2 ATTENDEE #3 ATTENDEE #4 ATTENDEE #5</p><p>Hospitals</p><p>Medical Society and Auxiliaries</p><p>Nurses</p><p>ER Physicians/Nurses</p><p>EMT/ Paramedics</p><p>Allied Health Providers (Dietitian, Occupational Therapist, Physical Therapist etc.)</p><p>Providers of Complementary and Alternative Medicine </p><p>6 CHECKLIST FOR COMMUNITY STAKEHOLDER INVOLVEMENT</p><p>ORGANIZATION ATTENDEE #1 ATTENDEE #2 ATTENDEE #3 ATTENDEE #4 ATTENDEE #5</p><p>Community Health Clinics</p><p>Pharmacists</p><p>Pharmaceutical Company Distributor</p><p>Other Clinics</p><p>Dentists</p><p>7 CHECKLIST FOR COMMUNITY STAKEHOLDER INVOLVEMENT</p><p>STAKEHOLDER GROUP 7: Philanthropy</p><p>National</p><p>State</p><p>Local</p><p>8</p>